首页|龙氏治脊疗法结合放血疗法治疗40例神经根型颈椎病

龙氏治脊疗法结合放血疗法治疗40例神经根型颈椎病

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目的:观察龙氏治脊疗法联合放血疗法对神经根型颈椎病患者症状的影响。方法:将164例神经根型颈椎病患者随机分为对照组、龙氏治脊组、放血组、联合组,每组各41例。对照组给予常规药物治疗,龙氏治脊组在对照组基础上应用龙氏治脊疗法治疗,放血组在对照组基础上应用放血疗法,联合组在对照组基础上应用放血疗法和龙氏治脊疗法。1周为1个疗程,共治疗2个疗程。治疗前、治疗1个疗程后、治疗2个疗程后分别用视觉模拟评分法(VAS)疼痛评分、VAS麻木评分、田中靖久颈椎病症状量表评分、颈椎功能障碍指数进行比较。同时评价治疗2个疗程后的临床疗效。结果:放血组剔除2例,联合组剔除1例,4组共161例完成研究。治疗2个疗程后,对照组、龙氏治脊组、放血组、联合组的VAS疼痛评分、VAS麻木评分、田中靖久颈椎病症状量表评分、颈椎功能障碍指数均较治疗前提高(P<0。01),且龙氏治脊组、放血组、联合组治疗2个疗程后VAS疼痛评分、VAS麻木评分、田中靖久颈椎病症状评分、颈椎功能障碍指数与对照组比较,差异均有统计学意义(P<0。05)。在治疗2个疗程后,联合组、对照组、龙氏治脊组、放血组总显效率分别为87。5%(35/40)、43。9%(18/41)、68。3%(28/41)、69。2%(27/39);联合组总显效率高于对照组、龙氏治脊组、放血组(P<0。05);龙氏治脊组和放血组总显效率均高于对照组(P<0。05);龙氏治脊组与放血组比较,差异无统计学意义(P>0。05)。龙氏治脊疗法和放血疗法两者无交互作用(P>0。05)。VAS疼痛评分、VAS麻木评分、颈椎功能障碍指数各评分的时间因素和分组因素都存在交互效应(P<0。01),4组下降趋势不一致,联合组下降幅度最大。田中靖久症状量表评分的时间因素和分组因素存在交互效应(P<0。01),4组增长幅度不一致,联合组增长幅度最大。结论:龙氏治脊疗法联合放血疗法可有效缓解神经根型颈椎病症状,使患者更快地回归正常生活。
Study on 40 Cases of Cervical Spondylotic Radiculopathy Treated by Long's Chiropractic Therapy combined with Bloodletting Therapy
Objective:To observe the effect of Long's chiropractic therapy combined with bloodletting therapy on the symptoms of patients with cervical spondylotic radiculopathy.Methods:A total of 164 patients with cervical spondylotic radiculopathy were randomly divided into control group,Long's group,bloodletting group and Long's combined bloodletting group,41 cases in each group.The control group was given routine drug treatment,and the Long's group was treated with Long's chiropractic therapy on the basis of the control group.The bloodletting group was treated with bloodletting therapy on the basis of the control group,and the Long's combined bloodletting group was treated with bloodletting therapy and Long's chiropractic therapy on the basis of the control group.One week is a course of treatment,with a total of 2 courses of treatment.Before treatment,after one course of treatment and after two courses of treatment,the scores of VAS pain scale,visual simulation numbness scale,Tanaka Jingjiu cervical spondylosis symptom scale and cervical dysfunction index were compared respectively.At the same time,the curative effect was evaluated after two courses of treatment.Results:A total of 2 cases were excluded from the bloodletting group,1 case was excluded from the Long's combined bloodletting group,and 161 cases in 4 groups completed the study.After 2 courses of treatment,the scores of VAS pain scale,visual simulated numbness,Tanaka Jingjiu cervical spondylosis symptom scale and cervical vertebra dysfunction index in the control group,Long's group,bloodletting group and Long's combined bloodletting group were all higher than those before treatment(P<0.01),and compare with the control group,there were statistically significant differences in the scores of VAS pain scale,visual simulated numbness,Tanaka Jingjiu cervical spondylosis symptom scale and cervical vertebra dysfunction index in Long's group,bloodletting group and Long's combined bloodletting group after 2 courses of treatment(P<0.05).After two courses of treatment,the total effective rates of Long's combined bloodletting group,control group,Long's group,and bloodletting group were 87.5%(35/40),43.9%(18/41),68.3%(28/41),and 69.2%(27/39),respectively.The total apparent efficiency of Long's combined bloodletting group was higher than that of the control group,Long's group,and bloodletting group(P<0.05).The total effective rates of the Long's group and the bloodletting group were higher than those of the control group(P<0.05).There was no statistically significant difference between the Long's group and the bloodletting group(P>0.05).There was no interaction between Long's chiropractic therapy and bloodletting therapy(P>0.05).The time and grouping factors of VAS pain score,visual simulated numbness score,and cervical spine dysfunction index all have interactive effects(P<0.01),and the downward trend of the four groups was inconsistent,with the Long's combined bloodletting group showing the largest decrease.There was an interactive effect between the time factor and grouping factor in the Tanaka Jingjiu cervical spondylosis symptom scale score(P<0.01),with inconsistent growth rates among the four groups,with the Long's combined bloodletting group having the largest growth rate.Conclusion:Long's chiropractic therapy combined with bloodletting therapy can effectively relieve the symptoms of cervical spondylotic radiculopathy and make patients return to normal life more quickly.

cervical spondylotic radiculopathyLong's chiropractic therapybloodletting therapyfactorial designclinical research

文舒宁、袁小敏、赵彪

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珠海市中西医结合医院,广东 珠海 519000

神经根型颈椎病 龙氏治脊疗法 放血疗法 析因设计 临床研究

广东省中医药局科研资助项目

20212209

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(6)
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